510(k) Report

510(k) · Cleared

Cleared

Lanx Spinal Fixation System

K120399510(k) SpecialCleared Mar 9, 201230-day reviewClass II21 CFR 888.3070

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Lanx, LLC · NKB Thoracolumbosacral Pedicle Screw System

Cleared on Mar 9, 2012 as substantially equivalent to K103237 (Lanx, Inc., 2011) after a 30-day review. Its family tree reaches back 4 generations to 2004. 17 later devices descend from it.

Decided
Mar 9, 2012
Review
30 days
Class
Class II
Product code
NKB
Recalls
None
Predicates
1

Its longest line of descent runs back 4 generations to K033826 (2004). 11 ancestors in all, the oldest K032037 (2003). 17 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2010: 1 other ancestor2009: 3 other ancestors2007: 1 other ancestor2005: 1 other ancestor2003: 1 other ancestor2012: 3 descendants cleared2015: 4 descendants cleared2017: 2 descendants cleared2014: 2 descendants cleared2018: 1 descendant cleared2020: 1 descendant cleared2016: 2 descendants cleared2026: 2 descendants clearedK033826 · Orthopedic Alliance Spine System · Orthopedic Alliance, LLC · 2004 · recalledK043484 · Lanx Spinal Fixation System · Lanx, LLC · 2005K071633 · Lanx Deformity System · Lanx, LLC · 2007K103237 · Lanx Spinal System · Lanx, Inc. · 2011200020052010201520202025
Other ancestors, by generationDescendants, by generation 2 generations back: 5 other ancestors3 generations back: 1 other ancestor4 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 4 descendants3 generations forward: 6 descendants4 generations forward: 3 descendants5 generations forward: 2 descendants K103237 · Lanx Spinal System · Lanx, Inc. · 2011K071633 · Lanx Deformity System · Lanx, LLC · 2007K043484 · Lanx Spinal Fixation System · Lanx, LLC · 2005K033826 · Orthopedic Alliance Spine System · Orthopedic Alliance, LLC · 2004 · recalled0+5
  1. Root · 4 generations backK033826 Orthopedic Alliance Spine SystemOrthopedic Alliance, LLC · 2004 · Recalled
  2. 3 generations backK043484 Lanx Spinal Fixation SystemLanx, LLC · 2005
  3. 2 generations backK071633 Lanx Deformity SystemLanx, LLC · 2007
  4. 1 generation backK103237 Lanx Spinal SystemLanx, Inc. · 2011
  5. This deviceK120399 Lanx Spinal Fixation SystemLanx, LLC · 2012
  6. Descendant · cites it directly · 8 of its ownK121940 Lanx Spinal Fixation SystemLanx, Inc. · 2012
  7. Descendant · cites it directly · 7 of its ownK122145 Lanx Spinal Fixation SystemLanx, Inc. · 2012 · Recalled
  8. Descendant · 2 generations on · 6 of its ownK123093 Stabilink Mis Spinal Fixation SystemSouthern Spine, LLC · 2012
  9. Descendant · 3 generations on · 5 of its ownK133363 Interbridge Interspinous Posterior Fixation SystemLdr Spine USA, Inc. · 2014
  10. Descendant · 2 generations on · 4 of its ownK171838 TiLock2 Spinal SystemGenesys Spine · 2017

Showing 5 of 17 descendants. See all descendants

Descendants cleared per year

2012: 32014: 22015: 42016: 22017: 22018: 12020: 12026: 2
2012high 4 (2015) · low 0 (2013)2026

Most influential descendants

Showing 5 of 17 · See all
  • K121940Lanx Spinal Fixation SystemLanx, Inc. · 2012 · cites it directly8descendants
  • K122145Lanx Spinal Fixation SystemLanx, Inc. · 2012 · cites it directly7descendants
  • K123093Stabilink Mis Spinal Fixation SystemSouthern Spine, LLC · 2012 · 2 generations on6descendants
  • K133363Interbridge Interspinous Posterior Fixation SystemLdr Spine USA, Inc. · 2014 · 3 generations on5descendants
  • K171838TiLock2 Spinal SystemGenesys Spine · 2017 · 2 generations on4descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K033826Orthopedic Alliance Spine SystemOrthopedic Alliance, LLC20041
−3K043484Lanx Spinal Fixation SystemLanx, LLC2005—
−2K071633Lanx Deformity SystemLanx, LLC2007—
−1K103237Lanx Spinal SystemLanx, Inc.2011—
0 (this device)K120399Lanx Spinal Fixation SystemLanx, LLC2012—
+1K121940Lanx Spinal Fixation SystemLanx, Inc.2012—
+1K122145Lanx Spinal Fixation SystemLanx, Inc.20121
+2K123093Stabilink Mis Spinal Fixation SystemSouthern Spine, LLC2012—
+3K133363Interbridge Interspinous Posterior Fixation SystemLdr Spine USA, Inc.2014—
+2K171838TiLock2 Spinal SystemGenesys Spine2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200310
200510
200710
200930
201010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201230
201420
201540
201620
201720
201810
202010
202620
FIG. 1 — Lineage of K120399, 2004–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in NKB? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new NKB device

  1. #1 K223494 CD Horizon Spinal Systemscore 40.4 · 30 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K103237Lanx Spinal System
Summary page 1
…1 CFR §888.3070, §888.3050 Device Class: Class 11 and Class Ill Predicate Device Information Lanx Spinal Fixation System (K103237) Device Description The Lanx Spinal Fixation System consists of various screws, hooks, rods, plates, connectors, etc. that are…
Lanx, Inc.2011—

Also cleared against K103237: 1 other device →

What descends from it? (17)

See all 17

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K121940Lanx Spinal Fixation SystemLanx, Inc.20128
K122145Lanx Spinal Fixation SystemLanx, Inc.20127

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 8 years and passes through 3 companies; a new generation was cleared every 2.2 years on median.
  • 1 of the 11 ancestors has a recall of any class.
  • Of its descendants, K121940 (Lanx, Inc., 2012) has gone furthest, with 8 descendants of its own.
  • 1 other device also cites its predicate K103237.

How does its category compare?

All NKB devices

NKB Thoracolumbosacral Pedicle Screw System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · NKB

24in 2025

2007: 382008: 362009: 442010: 372011: 482012: 602013: 352014: 462015: 552016: 502017: 632018: 562019: 392020: 482021: 322022: 342023: 442024: 392025: 242026 (partial year): 30
2007high 63 (2017) · low 24 (2025)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NKB

61in 2025

2007: 87 days median2008: 59 days median2009: 71 days median2010: 111 days median2011: 84 days median2012: 79 days median2013: 73 days median2014: 90 days median2015: 90 days median2016: 84 days median2017: 69 days median2018: 61 days median2019: 84 days median2020: 68 days median2021: 61 days median2022: 88 days median2023: 72 days median2024: 57 days median2025: 61 days median2026 (partial year): 91 days median
2007high 111 (2010) · low 57 (2024)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · NKB

1in 2025

2007: 42008: 52009: 332010: 42011: 32012: 132014: 3, 1 Class I2015: 32016: 12017: 12018: 32019: 12020: 12022: 52023: 22024: 32025: 12026 (partial year): 3
2007high 33 (2009) · low 0 (2013)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · NKB

1,171in 2025

2007: 342008: 822009: 1712010: 4622011: 5772012: 1,7472013: 1,9622014: 1,6712015: 1,4462016: 1,5852017: 1,6182018: 1,6842019: 1,9152020: 2,0762021: 1,7452022: 1,3392023: 9192024: 1,6142025: 1,171
2007high 2,076 (2020) · low 34 (2007)2025

MAUDE reports naming product code NKB, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20073887434
20083659582
2009447133171
2010371114462
201148843577
20126079131,747
2013357301,962
201446903 (1)1,671
2015559031,446
2016508411,585
2017636911,618
2018566131,684
2019398411,915
2020486812,076
2021326101,745
2022348851,339
202344722919
2024395731,614
2025246111,171
202630913—

What is it indicated for?

The Lanx Spinal Fixation System (SFS) is intended to be used to help provide immobilization and stabilization of spinal segments as an adjunct to fusion of the thoracic, lumbar and/or sacral spine. The System is intended for use with autograft or allograft. The Lanx Spinal Fixation System is intended for posterior, non-cervical (T1-S2/ilium) pedicle and non-pedicle spinal fixation, to provide immobilization and stabilization of spinal segments in…

Read the full statement (219 words)

The Lanx Spinal Fixation System (SFS) is intended to be used to help provide immobilization and stabilization of spinal segments as an adjunct to fusion of the thoracic, lumbar and/or sacral spine. The System is intended for use with autograft or allograft.

The Lanx Spinal Fixation System is intended for posterior, non-cervical (T1-S2/ilium) pedicle and non-pedicle spinal fixation, to provide immobilization and stabilization of spinal segments in skeletally mature patients as an adjunct to fusion in the treatment of the following instabilities or deformities: degenerative disc disease (DDD, defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e. fracture or dislocation); spinal stenosis; deformities or curvatures (i.e. scoliosis, kyphosis and/or lordosis); tumor; pseudoarthrosis; and failed previous fusion.

The Lanx Spinous Process Fusion Plate (SPFP) is a posterior, non-pedicle supplemental fixation device, intended for use at a single level in the non-cervical spine (T1-S1). It is intended for plate fixation/attachment to spinous processes for the purpose of achieving supplemental fusion in the following conditions: degenerative disc disease (defined as back pain of discogenic origin with degeneration of the disc confirmed by history and radiographic studies); spondylolisthesis; trauma (i.e., fracture or dislocation); and/or tumor. The Lanx SPFP is intended for use with bone graft material, not intended for stand-alone use.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K120399: Lanx Spinal Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K120399

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026